CPT CODING: 56740: Excision of Bartholin's gland cyst.
Maternal care for abnormality of vagina, first trimester O34. 61 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The Bartholin's (BAHR-toe-linz) glands are located on each side of the vaginal opening. These glands secrete fluid that helps lubricate the vagina. Sometimes the openings of these glands become obstructed, causing fluid to back up into the gland. The result is relatively painless swelling called a Bartholin's cyst.
The Bartholin's glands (named after Thomas Bartholin; also called Bartholin glands or greater vestibular glands) are two pea sized compound alveolar glands located slightly posterior and to the left and right of the opening of the vagina.
Bartholin cysts form when a blockage occurs at the opening of one of these glands, causing fluid to build up and form a lump. With marsupialization, your provider cuts a slit into a Bartholin cyst, allowing it to drain. Then, they suture the edges of the cyst to the surrounding tissue to form a tiny pouch.
The incidence of Bartholin gland abscesses during pregnancy was 0.13%. Eight (20%) abscesses occurred in the first, 18 (45%) in the second, 11 (47.5%) in the third trimester and 3 (7.5%) in the post-partum course. No severe perineal and neonatal infections occurred during pregnancy.
A Bartholin cyst is a buildup of fluid that occurs if the opening of the gland is blocked. A Bartholin abscess may occur if the cyst fluid becomes infected. The Bartholin cyst or abscess appears as a lump or swelling on the side of the vaginal opening.
Bartholin cysts can be caused by E. coli and other bacterial infections or sexually transmitted infections (STIs) like gonorrhea and chlamydia. These bacteria can clog the Bartholin gland and lead to a cyst.
Difference between cyst and abscess. While a cyst is a sac enclosed by distinct abnormal cells, an abscess is a pus-filled infection in your body caused by, for example, bacteria or fungi. The main difference in symptoms is: a cyst grows slowly and isn't usually painful, unless it becomes enlarged.
The Bartholin glands, also known as the greater vestibular glands (or vulvovaginal glands) are paired pea-sized structures, lying on either side of the vaginal opening, and are homologous to the bulbourethral (Cowper) glands in the male. They form part of the vulva.
The Bartholin's glands secrete fluid that acts as a lubricant during sex. The fluid travels down tiny tubes called ducts into the vagina. If the ducts become blocked, they can fill with fluid and expand to form a cyst.
The glands are connected to ducts, approximately 2.5 cm in width, situated between the labia minora and the hymenal edge [2]. Through these ducts, the glands drain the mucus into the vaginal vestibule.